HomeMy WebLinkAbout4380 ZIEGLER RD - APPLICATIONS - 8/29/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052Z-0580 • Phone: 221-6760 a
f_ `j www.fcgov.com/building � t[[JJ
CityofFortC011ins BUILDING PERMIT APPLICATION 59g 33
APPLICATION NUMBER L ✓ APPLICATION DATE
Job Site Address L�380 t --O • f*.t CaL4ws I Co Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9720 Z180 3 9 t.i.
-e�V//�Gc7TF1�NhlOtOCrtGS rRStNafne Middle
�$UZ. Street Address /E.fs( X. IZ.17 city -r;IL{ LOLJ-aNS State�Zip$;X
CONTRACTOR INFO: Company Name Ml/12.t?14y CO&MFA�ylrNry+4� U ContE actoor none # 303 5 -7-I � 600
Lic. Holder Name Gy oy ��2�L City of Fort Collins License # I7- Supervisor Cart #
Mailing Address,? �!� wtif'F,CrJ/�IC�- Si City;,(.if/r�2__ Statel'o Zip
Subdivision/PUD T6gjb %ciA - IC.GI-L-c-y Filing # 2, Lot # 2-
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) L4P 000
Residential Sq Ft Comm'I Sq Ft &0-h� # of Stories 2„ Bldg Height # Dwelling Units
Block # Lot ,ag-" • 41 C,
Total Garage Sq Ft
1st Floor Sq Ft_ 20d Floor Sq Ftac70 Unfinished Bsmt Sq Ft(4 CIO_ Finished Bsmt Sq Ft _
# of Bedrooms # of Full Baths % Baths /3 Baths # of Fireplaces
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
UTILITIES INFO:
Water Tap Size Sewer Tap Size itMetered Ye or No Temp. Pedestal: Yes or No
Type of Heat: Olk�Sas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Contact Name & Phone # of JOBSITE SUPERVISOR-ROL::n,11 irJn. i 7� 2-11r 034 '-
Subcontractor Info:
Electrical
Framer
Mechanical Huy-,M / C.oN4dp.t-ly Plumbing
Roofing�'�t7 Concrete
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein =Collins ordinances and state laws regulating building construction. -i cJ�t
Applicant Signati:ov= Print Name lP4Il► tJA.y Phone 2,% (73�'t�'
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE